Wakonda Heritage Manor
Medicare-certified515 OHIO STREET, Wakonda, SD 57073
Skilled Nursing
Medicare & Medicaid certifiedSprinkler systemsResident & family councilSkilled nursing & rehabilitation+1 more
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Prices not published
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Medicare-certifiedSkilled Nursing
Sunset Manor Avera Health
Irene, South DakotaMedicare inspection record
About Sunset Manor Avera Health
Sunset Manor Avera Health brings skilled nursing and rehabilitation services to IRENE, South Dakota with compassionate, personalized care. Our team supports recovery and wellness through evidence-based treatment plans, therapeutic programs, and dedicated nursing staff committed to helping residents regain independence and confidence.
Community at a glance
Capacity
58 residents
Location
Irene, SD
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
129 E CLAY ST, Irene, South Dakota 57037
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
- Medicare flags Sunset Manor Avera Health for a citation related to abuse of residents in its recent inspections.
At its most recent standard inspection, on December 31, 2025, state inspectors cited 7 health deficiencies (the South Dakota average is 6.7).
Nurses and nurse aides spend 5 hours 6 minutes with each resident a day, above the South Dakota average of 3 hours 47 minutes.
Medicare fined Sunset Manor Avera Health 3 times in the last three years, $56,946 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 5 hours 6 minutesAbove the South Dakota average |
| Registered nurse time per resident, per day | 51 minutesAbove the South Dakota average |
| Nursing staff who left in the past year | 70%Above the South Dakota average |
Inspections
16 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
May 5, 2026 · Complaint investigation · 2 citations
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 3, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 3, 2026
December 31, 2025 · Standard inspection · 5 citations
Post nurse staffing information every day.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Jan 8, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jan 16, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Feb 4, 2026Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Feb 4, 2026Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 4, 2026
June 18, 2025 · Complaint investigation · 3 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 22, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 16, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 16, 2025
February 12, 2025 · Complaint investigation · 2 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Mar 13, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Mar 13, 2025
September 25, 2024 · Complaint investigation · 2 citations+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a pattern (level H)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 23, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Residents were harmed, a pattern (level H)Quality of Life and CareFrom a complaintCorrected Oct 23, 2024
August 8, 2024 · Complaint investigation · 2 citations+
Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Sep 6, 2024Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Sep 22, 2024
Fines and payment denials
3 fines totaling $56,946 in the last three years.
- May 5, 2026Fine: $16,350
- February 12, 2025Fine: $11,190
- September 25, 2024Fine: $29,406
About the home, per Medicare
- Ownership
- Non profit - Other
- Legal business name
- Sunset Manor Inc.
- Medicare-certified beds
- 58
- Average residents per day
- 50
- Accepts
- Medicare and Medicaid
- First certified
- January 1, 1997
- Part of a chain
- Avera Health, 13 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 435100
Location
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129 E CLAY STIrene, SD 57037
6 other communities within 10 miles
Senior living near Irene
515 OHIO ST, Wakonda, SD 57073
Assisted Living
Assisted living & personal care24-hour supervisionMedication management
Call for pricing
Prices not published
Pioneer Memorial Nursing Home
Medicare-certified315 NORTH WASHINGTON ST, Viborg, SD 57070
Skilled Nursing
Medicare & Medicaid certifiedSprinkler systemsResident & family councilSkilled nursing & rehabilitation+1 more
Call for pricing
Prices not published
Questions about Sunset Manor Avera Health
How did Sunset Manor Avera Health do on its last inspection?+
State inspectors visited on December 31, 2025 and cited 7 health deficiencies, 3 of them from complaint investigations. The South Dakota average is 6.7.
How much nursing care does each resident get at Sunset Manor Avera Health?+
Nurses and aides spend 5 hours 6 minutes with each resident per day, including 51 minutes from registered nurses. 70% of nursing staff left over the past year.
Has Sunset Manor Avera Health been fined by Medicare?+
Yes. Medicare fined Sunset Manor Avera Health 3 times in the last three years, totaling $56,946.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.